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This study focuses on the transventricular transforaminal endoscopic approach and aims to provide insights into its indications, limitations, technical nuances, and potential complications in pediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted using data from a 13-year period on pediatric patients who were subjected to transforaminal endoscopic surgery for third ventricular lesions. The study utilized a prospectively maintained internal database, extracting demographic data, preoperative assessment, surgical details, and postoperative follow-up information. The surgical technique is presented in detail, and exemplary case reports highlight relevant surgical considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 578 endoscopic transforaminal procedures, 24 surgeries were performed on pediatric patients with third ventricular lesions. Performed procedures consisted of cyst resection (13 cases), solid tumor resection (4 cases), and tumor biopsies with CSF pathway restoration (7 cases). The mean age at the time of surgery was 7.6\u00a0years. Postoperatively, 14 patients showed transient nausea and vomiting (58.3%); 10 patients showed pneumocephalus on postoperative MRI (41.7%). No emergency postoperative re-interventions nor perioperative mortality were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The endoscopic transventricular transforaminal approach is a safe approach for lesion resection, CSF pathway restoration, and tumor biopsy in pediatric patients with third ventricle lesions. The author\u2019s results support the use of this minimally invasive technique as an alternative to more extensive approaches, particularly to the interforniceal interhemispheric approach. However, surgical success is highly dependent to the individual surgeon\u2019s experience and moreover to a suitable indication setting. Careful preoperative planning and knowledge of the approaches\u2019 pro and cons is mandatory for successful application of this approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00381-023-06096-8","type":"journal-article","created":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T02:02:12Z","timestamp":1690596132000},"page":"3381-3389","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The minimally invasive transventricular endoscopic approach to third ventricular lesions in pediatric patients\u2014all-rounder with limitations?"],"prefix":"10.1007","volume":"39","author":[{"given":"Fritz","family":"Teping","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Oertel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,7,29]]},"reference":[{"issue":"5","key":"6096_CR1","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1227\/00006123-198205000-00001","volume":"10","author":"ML Apuzzo","year":"1982","unstructured":"Apuzzo ML, Chikovani OK, Gott PS et al (1982) Transcallosal, interfornicial approaches for lesions affecting the third ventricle: surgical considerations and consequences. 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J. Oertel acted as consultant to Karl Storz Company until 2020 for minimally invasive spine surgery which is unrelated to this publication. Besides this, no interest have to be declared.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}